[1]徐嘉祺,吴从俊,覃海飙,等.快速经椎间孔腰椎椎间融合术治疗腰椎椎管狭窄症20例[J].中国中医骨伤科杂志,2025,33(10):67-72.[doi:10.20085/j.cnki.issn1005-0205.251013]
　XU Jiaqi,WU Congjun,QIN Haibiao,et al.20 Cases Clinical Report on Quick Transforaminal Lumbar Interbody Fusion for the Treatment of Lumbar Spinal Stenosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(10):67-72.[doi:10.20085/j.cnki.issn1005-0205.251013]
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快速经椎间孔腰椎椎间融合术治疗腰椎椎管狭窄症20例()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年10期
页码:
67-72
栏目:
临床报道
出版日期:
2025-10-15

文章信息/Info

Title:
20 Cases Clinical Report on Quick Transforaminal Lumbar Interbody Fusion for the Treatment of Lumbar Spinal Stenosis
文章编号:
1005-0205(2025)10-0067-06
作者:
徐嘉祺1; 吴从俊1; 覃海飙2; 陈旺1; 陈祝江1; 杨波1; 邓昶1; 张振朋1; 陈明1△
1武汉中西医结合骨科医院(武汉体育学院附属医院)(武汉,430079)
2广西中医药大学第一附属医院
Author(s):
XU Jiaqi1; WU Congjun1; QIN Haibiao2; CHEN Wang1; CHEN Zhujiang1; YANG Bo1; DENG Chang1; ZHANG Zhenpeng1; CHEN Ming1△
1Wuhan Orthopaedics Hospital of Integrated Traditional Chinese and Western Medicine(The Affiliated Hospital of Wuhan Sports University),Wuhan 430079,China; 2The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nann
关键词:
快速经椎间孔腰椎椎间融合术;  腰椎椎管狭窄症;  微创融合
Keywords:
quick transforaminal lumbar interbody fusion;  lumbar spinal stenosis;  minimally invasive fusion
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.251013
文献标志码:
B
摘要:
目的:探讨快速经椎间孔腰椎椎间融合术(Q-TLIF)治疗腰椎椎管狭窄症的早期临床疗效。方法:纳入2025年1-4月收治的20例腰椎椎管狭窄症患者,均采用快速经椎间孔腰椎椎间融合术治疗。记录术前术后观察指标及并发症,比较术前、术后3 d、术后3个月及末次随访的腰腿疼痛视觉模拟量表(VAS)评分和Oswestry功能障碍指数(ODI)评分,末次随访采用改良MacNab评分评估临床疗效。结果:术前、术后3 d、术后3个月、末次随访的VAS评分及ODI评分随着时间推移显著下降,差异有统计学意义(P≤0.01),临床疗效优良率为95%。结论:快速经椎间孔腰椎椎间融合术治疗腰椎椎管狭窄症安全有效,且有并发症少、恢复快的优点,但远期疗效和融合率需进一步研究证实。
Abstract:
Objective:To evaluate the early clinical efficacy of quick transforaminal lumbar interbody fusion(Q-TLIF)in the treatment of lumbar spinal stenosis.Methods:A total of 20 patients with lumbar spinal stenosis,admitted between January 2025 and April 2025,were included.All patients underwent Q-TLIF.Preoperative and postoperative observation indices and complications were recorded.Visual analogue scale(VAS)scores for low back and leg pain and Oswestry disability index(ODI)scores were compared preoperatively and at 3 d,3 months postoperatively,and final follow-up.Clinical efficacy was assessed using modified MacNab criteria at final follow-up.Results:Both VAS and ODI scores demonstrated significant decreases over time from preoperative levels to 3 d postoperatively,3 months postoperatively,and at the final assessment,with statistical significance(P≤0.01).The excellent/good clinical efficacy rate was 95%.Conclusion:Q-TLIF is safe and effective for lumbar spinal stenosis,with fewer complications and rapid recovery.Long-term efficacy and fusion rate require further investigation.

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(收稿日期:2025-07-06)

备注/Memo

备注/Memo:
△通信作者 E-mail:1053128043@qq.com
更新日期/Last Update: 2025-10-10